Sleep Assessment in Long COVID Clinics: A Necessary Tool for Effective Management 2023 Khosla et al

Abstract

As we adapt to SARS-CoV-2, it has become apparent that the acute illness is not the only threat from this virus. Long COVID has emerged as a potentially disabling condition with multiple varied symptoms. We propose that querying patients about their sleep may allow for the assessment of a sleep-related disorder that is amenable to treatment. In addition, hypersomnolence is a prominent feature and may mimic other organic hypersomnias; therefore, inquiring about COVID-19 infection in sleepy patients is suggested.

Paywall, https://cp.neurology.org/content/13/1/e200079

 

I wonder if we will see variation in sleep issues over time in Long Covid as we can do in ME.

For me hypersomnia was a feature of the early stages of my ME or after significant relapses, however over time various disordered sleep patterns and/or insomnia also can develop.

 

I got a sleep test when I was being evaluated for ME. It was totally normal except I couldn't sleep much in the lab.

 

I think I'm still in that early stage when this happens for some people. I remember someone with the same early hypersomnia mentioned on this forum that for him it turned into insomnia after about ten years. It is weird hearing about these experiences. A bit like sitting on death row not knowing the date of your execution.

 

Hypersomnia for me the first 11 years and then insomnia for the next 2 years.

Now sometimes I'm not sure if I slept but remember dreams so I must have slept.

 

I'm 4 years in. It's been a consistent non-24 pattern and sleeping 10-12 hours, with minimal trouble sleeping besides sleeping at inconvenient times.